MERIKAEZ Italian Greyhounds & other Sighthounds

Merikaez Nutmeg’s Story
By Tricia - his owner

References supplied by Mary - his breeder

<>Born on the 3.3.2002 Nutmeg was a delightful puppy.  Curious and playful with both dogs and people, attentive, enjoying being in my company with lots of cuddles and no sign of separation anxiety.  He had all the usual normal ages and stages, vaccinations, puppy school, basic obedience and socialisation.  He was always shy but would come around with encouragement. 

<> We had some success in the show ring collecting some best in breeds at various shows and winning the best minor puppy in the Tasmanian Toy Dog Club show held at the Royal Hobart Show in 2002.

 <>The first thing I started to notice was probably when we started agility training in late ‘03.  We had to wait till he was eighteen months old because of bone development maturity and the risk of injury with this sort of activity.  He developed an absolute fear of people and strangers, in particular, and would startle easily and become anxious with new things which was out of character.  Then one day in March 04 we were in the garden and I noticed he was extremely anxious, unfocused and couldn’t walk.  He was very unsteady on his feet and uncoordinated; he appeared to be stepping high and irregular but not falling down and wouldn’t come when called.  I picked him up and held him till he settled down.  My first fear was that he was suffering from a poison of some sort but he recovered completely after about five minutes.

  <> The first Vet visit in April 2004 included a complete physical and neurological examination and a blood screen for electrolytes and full blood count, everything came back normal.  There was a suspicion that it may have been a seizure but no treatment was indicated and I was sent home to observe.  Unfortunately, he developed regular seizures resulting in about five per month.

 <>The pattern was always the same.  When I was around he would come to me with a dazed look (I began to recognise he was experiencing an aura or awareness that something was going to happen).  After a couple of minutes he would become stiff in the neck, throwing his head back, pupils dilated and start ‘paddling’ at this stage he would not be able to stand properly but he wouldn’t fall down stiff.  It didn’t appear to me that he would lose consciousness but be extremely fearful.  This would last for a minute or two and then he seemed to have another stage where he wasn’t paddling but lip smacking, face twitching and acting as if the room was spinning, still extremely fearful.  This would last as long as fifteen minutes and would usually end with him vomiting.  He would make a complete recovery as if nothing had happened.

  <> Because of the frequency of seizures he was started on phenobarbitone, a major tranquilliser.  He was given a dose of 15mgs twice per day.  This stopped the seizures and we tried to continue our activities as before. But he became lethargic and lost interest and wouldn’t engage in training, often running off and sniffing around the oval not responding to recall.  He also started to put on weight.

 <>This continued for about six months, he had phenobarbitone levels and liver function tests done to make sure he was in the therapeutic threshold and he put on about two kilos.  There were also some breakthrough seizures, which I documented and kept a log, I even had a video of a seizure for reference. This saddened me because it meant that we couldn’t continue with agility.  If there was anything common about these seizures they occurred if he got excited or stressed and we had looked at a range of things such as diet, chemicals in the environment and different situations and it was the stress/excitement that was a common theme.  Regularly he might have a seizure either on the way to agility or later that night so we stopped.  In October ‘O4 his dose of phenobarbitone was doubled and he was getting 30mgs twice per day.

 <>I’d reported all of this to Mary and she had a chance to have a look at him in late October ‘04.  She had a suspicion that he may have hypothyroidism.  I reported this to the Vet on his next scheduled check in April ‘05 and a T4 test was done but it was normal.  We continued on for about another month and then he started having more breakthrough seizures, so much so that the Vet wanted to increase the dose of phenobarbitone even more.  I was unhappy about him being on this drug as it affects the liver and I was sure it contributed towards his lethargy.
  <>
Mary insisted he should have further investigations done regarding thyroid function.  She indicated there was no appearance of epilepsy in Nutmeg’s breeding line and all the symptoms indicated to her hypothyroidism.
<>Armed with information on thyroid function tests I went back to the Vet saying I wasn’t happy about increasing the phenobarbitone and could we investigate the thyroid further.

 
Thank goodness he was receptive to the information Mary provided and he was curious himself why the seizures had increased.  In May ’05 blood was taken for the usual T4 which was normal, liver function tests - normal and a test sent to Melbourne.  The test sent to Melbourne was a thyroid stimulating hormone test at a cost of nearly $300 and the results indicated low thyroid hormone levels, however the T4 cell tests were showing normal levels.
 

<> In late May ’05 we commenced thyroxine tablets at a dose of 200 micrograms each day and phased out the phenobarbitone over a month.  We get regular T4 tests done and all of them have come back normal.  More than relying on the tests I monitor his physical appearance and character as I find these to be a more reliable indicator than the T4 cell test which have remained normal during the course of his illness.  <> He hasn’t looked back.  He lost more than two kilograms and is a healthy 5.2 kilos, he got his puppyish curiosity back and become more focused.

We have gone back to agility and he is doing OK, we have a lot of fun.  It takes some work to get his attention and focus but then he is a sight hound!!

 We finished 2006 having been part of our dog club’s agility demonstration team at the Royal Hobart Show, a pass in strategic partners at an agility games weekend and receiving an encouragement award at the end of year club celebrations.  We’re happy!

<>
<>October 2007 we are once again thrilling the crowds with an agility demonstration at the Hobart Royal Show
<>

 Nutmeg







 at the Hobart RoyalAgility Display on 25 Oct 2007

Nutmeg's Pedigree

Reference Material

The inheritance of the disease sourced from Oxford Labs. http://www.oxfordlabs.com/vpthyovw.html
If a relative of my dog has thyroid disease. What are the odds of my animal being a carrier of this disease?
Canine Autoimmune Thyroiditis is an autosomal recessive genetic disease. Therefore, if a relative of a dog is affected with this disease, it could be a carrier of the disease. 
Information on blood tests for the disease sourced  from Antech Labs.

T3 and/or T4 Autoantibodies (T3AA/T4AA) http://www.itsfortheanimals.com/THYROID-ASSESSING-FUNCTION.HTM

Whereas most cases of autoimmune thyroiditis (˜92%) have elevated TgAA in their serum, only about 20% have elevated serum T3 and/or T4 AA. Thus, the presence of elevated T3 and/or T4 AA supports a diagnosis of auto-immune thyroiditis but underestimates its prevalence, as negative (non-elevated) serum T3 and/or T4 AA levels do not rule out thyroiditis. On the other hand, positive results support the presence of thyroiditis, even if the TgAA level is normal. Most circulating antibodies are against T3 (~70%), some affect both T3 and T4 (˜25%), and only a few affect T4 alone (˜5%). When these autoantibodies are present, measurement of T4 and T3 levels will be spuriously high.

Some symptoms of the disease sourced from an article by Dr Jean Dodds http://www.itsfortheanimals.com/DODDS-CANINE-AI-THYROID.HTM
Neuromuscular Problems 
seizures / mental dullness / exercise intolerance / neurologic signs / polyneuropathy / lethargy / weight gain / cold intolerance / mood swings hyperexcitability / stunted growth / chronic infections.

These are merely snippets and the full articles on the pages indicated should be read .